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Contact Information

STEPHANIE C LACY
5590 RICHMOND HIGHWAY
APARTMENT 1010
ALEXANDRIA, VA22303
 Phone: 240-338-2412
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for STEPHANIE C LACY · (Female)

NPI Number 1366203663
Status Active
Credentials
Entity Individual
Enumeration date 01/23/2024
Last updated 01/23/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0904014243
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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